| NPI | 1336517549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004049) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO 0004049) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2021-03-18 |